| Bliss Family Dental Julie Konop, Dds, Pllc | |
|
4792 Dakota St Se Prior Lake MN 55372-1883 | |
| (952) 447-3777 | |
| (952) 447-2877 |
| Full Name | Bliss Family Dental Julie Konop, Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4792 Dakota St Se, Prior Lake, Minnesota |
| Authorized Official Name and Position | Julie Konop (SOLE PROPRIETOR/OWNER) |
| Authorized Official Contact | 9524473777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bliss Family Dental Julie Konop, Dds, Pllc 4792 Dakota St Se Prior Lake MN 55372-1883 Ph: (952) 447-3777 | Bliss Family Dental Julie Konop, Dds, Pllc 4792 Dakota St Se Prior Lake MN 55372-1883 Ph: (952) 447-3777 |
| NPI Number | 1588307011 |
|---|---|
| Provider Enumeration Date | 04/13/2022 |
| Last Update Date | 04/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588307011 | NPI | - | NPPES |
| 1700993284 | Other | MN | TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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